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Information on microbiological and susceptibility profiles of clinical isolates in Mongolia is scarce, hampering infection control and clinical care. Species and resistance profiles of 6334 clinical gram negative isolates, collected at Mongolia's National Center for Maternal and Child Health between 2014 and 2017 were analyzed. Annual proportion of multidrug-resistance among and isolates increased from 2.8% to 16.6% and 3.5% to 22.6% respectively; isolates exhibiting susceptibilities suggestive of extended spectrum beta-lactamase (ESBL)

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